门诊外科手术中的术后神经认知障碍:叙述性综述
Junyong In1, Brian Chen2, Hansu Bae1
1Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
Korean journal of anesthesiology
|April 3, 2024
概括
手术后神经认知障碍 (PoNCD) 影响手术结果,特别是在老年患者中. 手术前的脆弱性是关键的风险因素,神经炎症在PoNCD发展中发挥着潜在的作用.
科学领域:
- 麻醉学 麻醉学
- 老年医学 老年医学
- 神经科学是一个神经科学.
背景情况:
- 手术后神经认知障碍 (PoNCDs) 是一个重大的问题,特别是在老年手术患者中,影响了发病率和结果.
- 手术前的虚弱已经成为发展PoNCD的关键风险因素.
- 没有完全理解PoNCDs的潜在机制,但神经炎症是相关的.
研究的目的:
- 为提供术后神经认知障碍的概述.
- 要突出在门诊外科设置中对PoNCDs的关键考虑因素.
- 讨论PoNCDs的潜在预防和治疗策略.
主要方法:
- 文献综述和对PoNCDs当前研究的综合.
- 风险因素的分析,包括手术前的虚弱和神经炎症.
- 检查管理策略,如药物调整,饮食和预康复/康复等.
主要成果:
- 手术前的虚弱与PoNCDs的风险增加有关.
- 神经炎症是导致PoNCD发展的潜在因素.
- 虽然门诊手术可能具有较低的风险,但复杂的手术和降低的出院后监测需要在所有患者群体中给予注意.
结论:
- 在手术患者护理中,PoNCDs 构成了相当大的挑战.
- 了解诸如虚弱之类的危险因素以及诸如神经炎症之类的机制,对于预防和治疗至关重要.
- 随着外科手术的不断变化,包括老年/病情更严重的患者的门诊手术,需要量身定制的方法来缓解PoNCD风险.
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